Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024

Page 10A PLEASE TYPE OR pRtNTALL TNFORMATTON STATE ASSIGNED LICENSE NUMBER 0722 .33 -053 .OO1 ALL APPLICANTS ANSWER THE FOLLOWING (ADD PAGES AS NECESSARY) SOLE O!\NERS AND PARTNERSHIPS: Complete the page in full. LlMlTED PARTNERSHIP: All information about a general partner or partners of a limited parlnership must be reporled, whether the generalpadner is an individualor a corporation. A list of the names and addresses of all limiled parlners m ust be submitted as an atlachment lo this application with an identification of the percentage of each limited partner as it relates to lotal ownership ofthe business entity to be licensed. CORPoRATIONS: All corporation applicants or licensees and any corporation that has an ownership interest in the corporation under license or to be licensed must have been reported on page 10. lnformation on this page, 1OA, will identify allofficers, directors, and slockholders holding one percent or more of the shares of the respective company. Club licenses must lisl names of officeE and direclors and attach a current membership list. NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP) Montclair Golf Club Name of individual (last name first), stockholder, partner, offlcer or direclor: Gengaro Christopher P Last Name Firsl lMiddle nitial Home Slreet Address Number P.O. Box # Slreel Name State Municipality zip Socialsecu.ity number Home ielephone number office telephone numb"r Date ofbirrh Area Exchange Number % of business owned or controlled LeSS than 1% Number of shares _ Sole owner _ Padner _ Slockholder _ President _ Vice-President _ Secretary _ Treasurer _ Agent Executor/Adminislrator --l- trustee Beneficiary --{- otner lspecity; Licensing Subcommittee Member -l\,lanager - Check position that applies: Director Receiver Name of individual (last name lirst): Somogyi Daniel Lasl Name Firsl [Iiddle lnitial Home Street Address Street Name Number Municipality P.O. Box # State zip Dare ofbirrh Social Securily nu muer Home lelephone number Area Exchange Number Area Exchange Number Office lelephone number % of busaness owned or conlrolled 0 _ _ - Number of shares 0 Stockholder _ _ Vice-President _ President _ Secretary _ Treasurer _ Direclor Trustee _Manager _ Agenl _ Executor/Administrator

e number % of busaness owned or conlrolled 0 _ _ - Number of shares 0 Stockholder _ _ Vice-President _ President _ Secretary _ Treasurer _ Direclor Trustee _Manager _ Agenl _ Executor/Administrator _ Receiver General manager and Licensing Subcommittee Member (speciry) Beneficiary --{- Other Check position that applies: Sole owner Pa(ner _